Individual
MRS. NINA C. LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
224 E MAIN ST STE 119, ELKTON, MD 21921-5790
(866) 472-6288
Mailing address
224 E MAIN ST STE 119, ELKTON, MD 21921-5790
(866) 472-6288
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00525800
NJ
363LP2300X
Primary Care Nurse Practitioner
26NJ005255800
NJ
Other
Enumeration date
10/21/2014
Last updated
04/01/2022
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